42:2.0.1.2.11.1 | SUBPART A
| Subpart A - General Provisions | |
42:2.0.1.2.11.1.35.1 | SECTION 410.1
| 410.1 Basis and scope. | |
42:2.0.1.2.11.1.35.2 | SECTION 410.2
| 410.2 Definitions. | |
42:2.0.1.2.11.1.35.3 | SECTION 410.3
| 410.3 Scope of benefits. | |
42:2.0.1.2.11.1.35.4 | SECTION 410.5
| 410.5 Other applicable rules. | |
42:2.0.1.2.11.2 | SUBPART B
| Subpart B - Medical and Other Health Services | |
42:2.0.1.2.11.2.35.1 | SECTION 410.10
| 410.10 Medical and other health services: Included services. | |
42:2.0.1.2.11.2.35.2 | SECTION 410.12
| 410.12 Medical and other health services: Basic conditions and limitations. | |
42:2.0.1.2.11.2.35.3 | SECTION 410.14
| 410.14 Special requirements for services furnished outside the United States. | |
42:2.0.1.2.11.2.35.4 | SECTION 410.15
| 410.15 Annual wellness visits providing Personalized Prevention Plan Services: Conditions for and limitations on coverage. | |
42:2.0.1.2.11.2.35.5 | SECTION 410.16
| 410.16 Initial preventive physical examination: Conditions for and limitations on coverage. | |
42:2.0.1.2.11.2.35.6 | SECTION 410.17
| 410.17 Cardiovascular disease screening tests. | |
42:2.0.1.2.11.2.35.7 | SECTION 410.18
| 410.18 Diabetes screening tests. | |
42:2.0.1.2.11.2.35.8 | SECTION 410.19
| 410.19 Ultrasound screening for abdominal aortic aneurysms: Condition for and limitation on coverage. | |
42:2.0.1.2.11.2.35.9 | SECTION 410.20
| 410.20 Physicians' services. | |
42:2.0.1.2.11.2.35.10 | SECTION 410.21
| 410.21 Limitations on services of a chiropractor. | |
42:2.0.1.2.11.2.35.11 | SECTION 410.22
| 410.22 Limitations on services of an optometrist. | |
42:2.0.1.2.11.2.35.12 | SECTION 410.23
| 410.23 Screening for glaucoma: Conditions for and limitations on coverage. | |
42:2.0.1.2.11.2.35.13 | SECTION 410.24
| 410.24 Limitations on services of a doctor of dental surgery or dental medicine. | |
42:2.0.1.2.11.2.35.14 | SECTION 410.25
| 410.25 Limitations on services of a podiatrist. | |
42:2.0.1.2.11.2.35.15 | SECTION 410.26
| 410.26 Services and supplies incident to a physician's professional services: Conditions. | |
42:2.0.1.2.11.2.35.16 | SECTION 410.27
| 410.27 Therapeutic outpatient hospital or CAH services and supplies incident to a physician's or nonphysician practitioner's service: Conditions. | |
42:2.0.1.2.11.2.35.17 | SECTION 410.28
| 410.28 Hospital or CAH diagnostic services furnished to outpatients: Conditions. | |
42:2.0.1.2.11.2.35.18 | SECTION 410.29
| 410.29 Limitations on drugs and biologicals. | |
42:2.0.1.2.11.2.35.19 | SECTION 410.30
| 410.30 Prescription drugs used in immunosuppressive therapy. | |
42:2.0.1.2.11.2.35.20 | SECTION 410.31
| 410.31 Bone mass measurement: Conditions for coverage and frequency standards. | |
42:2.0.1.2.11.2.35.21 | SECTION 410.32
| 410.32 Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions. | |
42:2.0.1.2.11.2.35.22 | SECTION 410.33
| 410.33 Independent diagnostic testing facility. | |
42:2.0.1.2.11.2.35.23 | SECTION 410.34
| 410.34 Mammography services: Conditions for and limitations on coverage. | |
42:2.0.1.2.11.2.35.24 | SECTION 410.35
| 410.35 X-ray therapy and other radiation therapy services: Scope. | |
42:2.0.1.2.11.2.35.25 | SECTION 410.36
| 410.36 Medical supplies, appliances, and devices: Scope. | |
42:2.0.1.2.11.2.35.26 | SECTION 410.37
| 410.37 Colorectal cancer screening tests: Conditions for and limitations on coverage. | |
42:2.0.1.2.11.2.35.27 | SECTION 410.38
| 410.38 Durable medical equipment, prosthetics, orthotics and supplies (DMEPOS): Scope and conditions. | |
42:2.0.1.2.11.2.35.28 | SECTION 410.39
| 410.39 Prostate cancer screening tests: Conditions for and limitations on coverage. | |
42:2.0.1.2.11.2.35.29 | SECTION 410.40
| 410.40 Coverage of ambulance services. | |
42:2.0.1.2.11.2.35.30 | SECTION 410.41
| 410.41 Requirements for ambulance providers and suppliers. | |
42:2.0.1.2.11.2.35.31 | SECTION 410.42
| 410.42 Limitations on coverage of certain services furnished to hospital outpatients. | |
42:2.0.1.2.11.2.35.32 | SECTION 410.43
| 410.43 Partial hospitalization services: Conditions and exclusions. | |
42:2.0.1.2.11.2.35.33 | SECTION 410.45
| 410.45 Rural health clinic services: Scope and conditions. | |
42:2.0.1.2.11.2.35.34 | SECTION 410.46
| 410.46 Physician and other practitioner services furnished in or at the direction of an IHS or Indian tribal hospital or clinic: Scope and conditions. | |
42:2.0.1.2.11.2.35.35 | SECTION 410.47
| 410.47 Pulmonary rehabilitation program: Conditions for coverage. | |
42:2.0.1.2.11.2.35.36 | SECTION 410.48
| 410.48 Kidney disease education services. | |
42:2.0.1.2.11.2.35.37 | SECTION 410.49
| 410.49 Cardiac rehabilitation program and intensive cardiac rehabilitation program: Conditions of coverage. | |
42:2.0.1.2.11.2.35.38 | SECTION 410.50
| 410.50 Institutional dialysis services and supplies: Scope and conditions. | |
42:2.0.1.2.11.2.35.39 | SECTION 410.52
| 410.52 Home dialysis services, supplies, and equipment: Scope and conditions. | |
42:2.0.1.2.11.2.35.40 | SECTION 410.55
| 410.55 Services related to kidney donations: Conditions. | |
42:2.0.1.2.11.2.35.41 | SECTION 410.56
| 410.56 Screening pelvic examinations. | |
42:2.0.1.2.11.2.35.42 | SECTION 410.57
| 410.57 Pneumococcal vaccine and flu vaccine. | |
42:2.0.1.2.11.2.35.43 | SECTION 410.58
| 410.58 Additional services to HMO and CMP enrollees. | |
42:2.0.1.2.11.2.35.44 | SECTION 410.59
| 410.59 Outpatient occupational therapy services: Conditions. | |
42:2.0.1.2.11.2.35.45 | SECTION 410.60
| 410.60 Outpatient physical therapy services: Conditions. | |
42:2.0.1.2.11.2.35.46 | SECTION 410.61
| 410.61 Plan of treatment requirements for outpatient rehabilitation services. | |
42:2.0.1.2.11.2.35.47 | SECTION 410.62
| 410.62 Outpatient speech-language pathology services: Conditions and exclusions. | |
42:2.0.1.2.11.2.35.48 | SECTION 410.63
| 410.63 Hepatitis B vaccine and blood clotting factors: Conditions. | |
42:2.0.1.2.11.2.35.49 | SECTION 410.64
| 410.64 Additional preventive services. | |
42:2.0.1.2.11.2.35.50 | SECTION 410.66
| 410.66 Emergency outpatient services furnished by a nonparticipating hospital and services furnished in a foreign country. | |
42:2.0.1.2.11.2.35.51 | SECTION 410.67
| 410.67 Medicare coverage and payment of Opioid use disorder treatment services furnished by Opioid treatment programs. | |
42:2.0.1.2.11.2.35.52 | SECTION 410.68
| 410.68 Antigens: Scope and conditions. | |
42:2.0.1.2.11.2.35.53 | SECTION 410.69
| 410.69 Services of a certified registered nurse anesthetist or an anesthesiologist's assistant: Basic rule and definitions. | |
42:2.0.1.2.11.2.35.54 | SECTION 410.71
| 410.71 Clinical psychologist services and services and supplies incident to clinical psychologist services. | |
42:2.0.1.2.11.2.35.55 | SECTION 410.73
| 410.73 Clinical social worker services. | |
42:2.0.1.2.11.2.35.56 | SECTION 410.74
| 410.74 Physician assistants' services. | |
42:2.0.1.2.11.2.35.57 | SECTION 410.75
| 410.75 Nurse practitioners' services. | |
42:2.0.1.2.11.2.35.58 | SECTION 410.76
| 410.76 Clinical nurse specialists' services. | |
42:2.0.1.2.11.2.35.59 | SECTION 410.77
| 410.77 Certified nurse-midwives' services: Qualifications and conditions. | |
42:2.0.1.2.11.2.35.60 | SECTION 410.78
| 410.78 Telehealth services. | |
42:2.0.1.2.11.2.35.61 | SECTION 410.79
| 410.79 Medicare Diabetes Prevention Program expanded model: Conditions of coverage. | |
42:2.0.1.2.11.3 | SUBPART C
| Subpart C - Home Health Services Under SMI | |
42:2.0.1.2.11.3.35.1 | SECTION 410.80
| 410.80 Applicable rules. | |
42:2.0.1.2.11.4 | SUBPART D
| Subpart D - Comprehensive Outpatient Rehabilitation Facility (CORF) Services | |
42:2.0.1.2.11.4.35.1 | SECTION 410.100
| 410.100 Included services. | |
42:2.0.1.2.11.4.35.2 | SECTION 410.102
| 410.102 Excluded services. | |
42:2.0.1.2.11.4.35.3 | SECTION 410.105
| 410.105 Requirements for coverage of CORF services. | |
42:2.0.1.2.11.5 | SUBPART E
| Subpart E - Community Mental Health Centers (CMHCs) Providing Partial Hospitalization Services | |
42:2.0.1.2.11.5.35.1 | SECTION 410.110
| 410.110 Requirements for coverage of partial hospitalization services by CMHCs. | |
42:2.0.1.2.11.6 | SUBPART F
| Subpart F [Reserved] | |
42:2.0.1.2.11.7 | SUBPART G
| Subpart G - Medical Nutrition Therapy | |
42:2.0.1.2.11.7.35.1 | SECTION 410.130
| 410.130 Definitions. | |
42:2.0.1.2.11.7.35.2 | SECTION 410.132
| 410.132 Medical nutrition therapy. | |
42:2.0.1.2.11.7.35.3 | SECTION 410.134
| 410.134 Provider qualifications. | |
42:2.0.1.2.11.8 | SUBPART H
| Subpart H - Outpatient Diabetes Self-Management Training and Diabetes Outcome Measurements | |
42:2.0.1.2.11.8.35.1 | SECTION 410.140
| 410.140 Definitions. | |
42:2.0.1.2.11.8.35.2 | SECTION 410.141
| 410.141 Outpatient diabetes self-management training. | |
42:2.0.1.2.11.8.35.3 | SECTION 410.142
| 410.142 CMS process for approving national accreditation organizations. | |
42:2.0.1.2.11.8.35.4 | SECTION 410.143
| 410.143 Requirements for approved accreditation organizations. | |
42:2.0.1.2.11.8.35.5 | SECTION 410.144
| 410.144 Quality standards for deemed entities. | |
42:2.0.1.2.11.8.35.6 | SECTION 410.145
| 410.145 Requirements for entities. | |
42:2.0.1.2.11.8.35.7 | SECTION 410.146
| 410.146 Diabetes outcome measurements. | |
42:2.0.1.2.11.9 | SUBPART I
| Subpart I - Payment of SMI Benefits | |
42:2.0.1.2.11.9.35.1 | SECTION 410.150
| 410.150 To whom payment is made. | |
42:2.0.1.2.11.9.35.2 | SECTION 410.152
| 410.152 Amounts of payment. | |
42:2.0.1.2.11.9.35.3 | SECTION 410.155
| 410.155 Outpatient mental health treatment limitation. | |
42:2.0.1.2.11.9.35.4 | SECTION 410.160
| 410.160 Part B annual deductible. | |
42:2.0.1.2.11.9.35.5 | SECTION 410.161
| 410.161 Part B blood deductible. | |
42:2.0.1.2.11.9.35.6 | SECTION 410.163
| 410.163 Payment for services furnished to kidney donors. | |
42:2.0.1.2.11.9.35.7 | SECTION 410.165
| 410.165 Payment for rural health clinic services and ambulatory surgical center services: Conditions. | |
42:2.0.1.2.11.9.35.8 | SECTION 410.170
| 410.170 Payment for home health services, for medical and other health services furnished by a provider or an approved ESRD facility, and for comprehensive outpatient rehabilitation facility (CORF) services: Conditions. | |
42:2.0.1.2.11.9.35.9 | SECTION 410.172
| 410.172 Payment for partial hospitalization services in CMHCs: Conditions. | |
42:2.0.1.2.11.9.35.10 | SECTION 410.175
| 410.175 Alien absent from the United States. | |